Breast surgery is a broad term encompassing a variety of procedures aimed at altering the size, shape or contour of the breasts. Ranging from breast augmentation to breast reconstruction, these procedures are done with a balanced and natural aesthetic in mind, aiming to enhance or restore your self-confidence and body image. This guide will provide a comprehensive overview of the different types of breast surgery, helping you understand each procedure’s unique purpose and benefits.

Breast Augmentation

Breast augmentation is a surgical procedure aimed at enhancing the size and shape of the breasts using implants. The implants are filled with either silicone or saline and when appropriately selected, provide a natural and aesthetically pleasing look​​. During your consultation, the implant types will be discussed in the context of your unique anatomy, lifestyle, and aesthetic goals so that you can make a well-informed decision.

Breast Lift (Mastopexy)

A breast lift, or mastopexy, is a procedure designed to lift and firm the breasts. This is achieved by removing excess skin, tightening/coning the breast tissue, and repositioning the nipple and areola on the chest wall. The result is a restoration of youthful firmness and lift to the breasts.

Breast Revision

Breast implants are not lifetime devices, and over time, you may require a breast revision procedure. This procedure is performed to replace old breast implants and can also involve additional procedures to address changes in breast shape over time. The aim is to create a natural, youthful breast shape that aligns with your current aesthetic goals​. This may include a simultaneous breast lift to remove excess skin and reposition the breast tissue to a higher position centered on the implant. This restores a round shape to the breast.

It is not uncommon for patients to feel that their existing breast size no longer fits their lifestyle or aesthetic ideal. When undergoing breast revision surgery, there is the opportunity to increase or decrease the size of the breasts according to your wishes. This is accomplished through careful implant selection and breast tissue shaping techniques.

Breast Implant Removal

For various reasons, some women decide to have their breast implants removed. This procedure involves the removal of the implants and the surrounding scar tissue, known as the capsule. Following implant removal, the breasts are often reshaped to optimize aesthetics. Reasons for implant removal can range from a desire for a smaller breast size, aged or ruptured implants, or health concerns related to the implants.

Breast Reduction

Breast reduction surgery is a procedure designed to reduce the size of large, heavy breasts. During this procedure, excess breast tissue and skin are removed. The remaining breast tissue is reshaped and simultaneously lifted to a higher position on the chest. The goal of a breast reduction is to create smaller, lighter and more proportionate breasts, alleviating the physical discomfort often associated with overly large breasts.

Breast Reconstruction

Breast reconstruction surgery is a procedure performed to restore the shape, size, and appearance of one or both breasts after mastectomy or lumpectomy. This procedure is an integral part of the healing process for many breast cancer survivors, helping to restore their self-confidence and sense of femininity. The techniques used in breast reconstruction can vary greatly and are thoroughly reviewed during your consultation.

Gynecomastia Surgery

While most breast surgeries are performed on women, gynecomastia surgery is a procedure designed for men. Gynecomastia is a condition characterized by enlarged breast tissue in men, and this surgery involves the removal of this excess tissue. There are two methods for removing the tissue: one involves directly excising the tissue through an incision placed in the bottom of the areola and the other, which in my practice is more common, involves using VASER liposuction to contour the glandular tissue. In many cases, this is more effective in avoiding post-operative dents that result from gland over-resection. Liposuction may also be used to sculpt and contour the chest, creating a more traditionally masculine appearance.

Conclusion

Breast surgery encompasses a range of procedures, each with its unique purpose and benefits. Whether you’re considering a breast augmentation to enhance your breast size, a breast reduction to alleviate physical discomfort, or a breast reconstruction after breast cancer treatment, understanding the different types of procedures is an important first step in your journey. However, it is important to remember that everyone’s body and goals are unique, and what works best for one person may not work for another.Therefore, it is vital to undergo a comprehensive consultation to discuss your individual needs and circumstances. In the end, the goal of any breast surgery is not only to enhance your physical appearance but also to improve your self-esteem and quality of life.

Take your time to research, ask questions, and fully understand the implications of each procedure. Your journey towards a more confident you starts with an informed decision.